Medical Eligibility Checklist
I am looking forward to your continued participation as a
Student-Athlete at Santiago
and wish you great success in your academic and athletic pursuits. As a student-athlete
you will have access to SCC’s Team Physician and Certified Athletic Trainer,
whom are available to you in order to help care for any injuries or illness you
may sustain while participating in intercollegiate athletics at Santiago Canyon
In accordance with the California Community College
Athletic Association (CCCAA), I require that the following medical
documentation be complete and submitted to SportsWare by Tuesday, August
Santiago Canyon College-Athletic Training
All the information that you need is located on the
Santiago Canyon College Athletics website under the Athletic Training Tab and
the documents can be accessed and submitted through www.SWOL123.net. Late
completion of these required documents will delay your ability to
participate in ANY team activities.
Please complete the following checklist and submit ALL documents to
the above web-address.
_____ Log in to your account at www.SWOL123.net (please make sure all
information is current)
Canyon College Returning Student Athlete Packet: You, as the student-athlete, are responsible
to complete the paperwork either by filling out on-line. You must sign the appropriate pages where
indicated and complete all required documents. The Returning Student-Athlete Packet includes:
p Assumption of Risk (pg. 1) p HIPPA Release (pg. 2) p Approval/Consent to Treat (pg. 3)
p Health History Form (pg. 4-5) p Insurance Reporting (pg. 6-9)
_____ A Picture of the front and back of the Primary Insurance Card for the policy under which, you, the student-athlete is covered. If you, the student-athlete are covered by more than one policy, please include copies of cards for all policies. Upload the Picture to SportsWare.
_____ Complete and Submit the Concussion and Injury Acknowledgment on Sportsware"
_____ Complete a Pre-Participation Physical Examination (PPE) using the form located
in the Returning Student-Athlete Packet titled PPE evaluation Form (pg. 6).
A new physical is required each academic year. A Medical Physician (MD/DO) or a Physician
Assistant (PA-C) working under a physician must SIGN and provide an
office STAMP on the provided form
from his/her establishment.
_____ If you have had surgery or have been under the
care of a physician for an injury or illness within the past 12 months,
you must provide:
§ A note
clearing you for unrestricted participation in the intercollegiate sport you
are intending to play, or a note describing your current activity restrictions
notes, including post-op reports, imaging reports, and any precautions or
restrictions related to the treated condition
College aims to provide
student-athletes with the best possible medical care. If you have any questions
regarding any of these forms or policies, please do not hesitate to contact me
at (714) 628-4704 or email me at Bains_Kelsey@sccollege.edu.
Kelsey Bains, MA, ATC
Forms to be completed by Student-Athlete found on SportsWare:
Returning Student-Athlete Forms
Injury and Concussion Acknowledgement